Endovascular reconstruction of enlarging traumatic internal carotid artery pseudoaneurysm

3,925 views · Published 30 October 2014 · 11:22 · Indexed 26 September 2026

Channel: American Association of Neurological Surgeons · 2014 · Education

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Omar Choudhri, M.D., Jeremy Heit, M.D., Ph.D., and Huy M. Do, M.D.

Department of Neurosurgery & Interventional Neuroradiology, Stanford University Medical Centre, Stanford, California

Traumatic dissecting pseudoaneurysms of the cervical and petrous internal carotid artery are often a result of blunt or penetrating trauma. These patients are at high risk for thromboembolic complications and are managed with antiplatelet agents. Patients who develop neurologic symptoms while on antiplatelet agents, or have interval enlargement of their pseudoaneurysms, may require repair of the vessel. We describe a case in which we performed an endovascular repair of an enlarging distal cervical internal carotid artery pseudoaneurysm, with placement of a covered stent.

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